Formulas · Clear Heat 淸熱 · Uihak Immun (醫學入門)

Frankincense and Bean Flour Support the Interior Powder

Yubuntangni-san

한글 유분탁리산 · Pinyin Ru Fen Tuo Li San

乳粉托裏散

癕 is given above as 癰. 菉豆粉 is the flour of the mung bean and is registered under 菉豆, with the part named in the prep. 甘草湯 is the licorice decoction used as the vehicle and is not an ingredient. Cinnabar belongs only to the 《丹心》 variant at the second ○ and is recorded above with that noted in its prep; the main formula has two medicinals. The 一名內托散 recorded here is not Naetak-san 內托散, the ten-medicinal Jeongui formula of this chapter, and 一名內托香粉散 is not Naetak-san either; the names are reused and the prescriptions are distinct.

Composition 構成

Nokdu Lu Dou
菉豆 녹두 · Mung Bean

16 g
Chief 君

菉豆粉四錢, mung bean flour
Yuhyang Ru Xiang
乳香 유향 · Frankincense

4 g
Deputy 臣

一錢
Jusa Zhu Sha
朱砂 주사 · Cinnabar (toxic)

12 g
Assistant 佐

三錢, in the Dansim variant Yuhyanghosim-san only

Total 32 g per packet (첩) · representative dosage — verify against source texts.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Turns back the toxic qi that has struck the heart in an abscess or malignant sore
Given at the outset so the toxin is driven outward and does not fall inward (返出毒氣, 不致內陷)
Sipped a little at a time in licorice decoction

Indications 主治

Pattern-based

Toxic qi striking the heart with stupor, oppression and vomiting (毒氣攻心, 迷悶嘔吐)
Sores breaking out in the throat and on the tongue — called the heart qi cut off (喉舌生瘡, 名曰心氣絶)
An abscess, a deep-rooted sore or a malignant sore at its first rising

Biomedical correlates

Sepsis with altered consciousness and vomiting in soft-tissue infection — historical framing
Oropharyngeal ulceration during severe systemic infection

Source text 原文

Donguibogam 東醫寶鑑

治癰疽惡瘡, 毒氣攻心, 迷悶嘔吐, 喉舌生瘡, 名曰心氣絶. 初起宜服此藥, 最能返出毒氣, 不致內陷. 菉豆粉四錢, 乳香一錢. 右爲末, 每二錢, 甘草湯調, 時時呷下. 一方, 新水調服. 《入門》 ○一名內托散, 一名護心散, 一名內托香粉散. 《綱目》 ○一方, 癰疽疔瘡惡瘡, 須服此預防毒氣攻心. 菉豆粉四兩, 乳香一兩, 朱砂三錢. 右爲末, 每二錢, 甘草湯調下, 名曰乳香護心散. 《丹心》

Translation

Treats an abscess or a malignant sore where the toxic qi has struck the heart, with stupor and oppression and vomiting and sores breaking out in the throat and on the tongue — this is called the heart qi cut off. At the first rising this medicine should be given; it is best able to turn the toxic qi back outward so that it does not fall inward. Mung bean flour, 4 don; frankincense, 1 don. Powder them; take 2 don at a dose, stirred into a licorice decoction and sipped down a little at a time. One formula has it stirred into fresh water. — Immun 入門 ○ One name for it is Naetak-san, another Hosim-san, another Naetakhyangbun-san. — Gangmok 綱目 ○ One formula: for an abscess, a deep-rooted sore or a malignant sore, one must take this to guard against the toxic qi striking the heart. Mung bean flour, 4 nyang; frankincense, 1 nyang; cinnabar, 3 don. Powder them and take 2 don at a dose stirred down in licorice decoction. It is called Yuhyanghosim-san, Frankincense Protect the Heart Powder. — Dansim 丹心 (Donguibogam · Ongjeo)

Clinical commentary 臨床

Two medicinals, and one of them is food. Mung bean flour four parts to frankincense one, stirred into licorice decoction and sipped — the plainest preparation in the chapter, and the one with the most urgent indication. 毒氣攻心, the toxic qi striking the heart, with stupor, vomiting and sores breaking out in the mouth, is what the section calls 心氣絶, the heart qi cut off, and the leaf asks for the powder 初起, at the very first rising, before that happens. The name collects the whole idea: 返出毒氣, 不致內陷 — turn the toxin back out, do not let it fall inward. That is the 托裏 principle of this chapter stated as prophylaxis rather than as repair, and it is why the formula wears four names, 內托散 and 護心散 among them. The Dansim variant at the second ○ scales the same two drugs up tenfold and adds cinnabar, renaming itself 乳香護心散. What the leaf is describing is sepsis — altered consciousness, vomiting and mucosal breakdown in a patient with a spreading soft-tissue infection — and it is describing it accurately and with the right alarm. The treatment is not the answer. Sepsis needs source control and intravenous antibiotics, and a patient at this point is hours from harm. **The Dansim variant contains cinnabar, which is mercury sulfide. This must not be prepared or taken.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.